持续性健康教育对脑梗死患者治疗依从性的影响  

Effects of continuing health education on treatment compliance of patients with cerebral infarction

作　　者：关冰心[1] 薛静[1] 胡洁[1] 

机构地区：[1]哈尔滨医科大学附属第一医院干部一病房,哈尔滨150001

出　　处：《中华现代护理杂志》2016年第11期1586-1589,共4页Chinese Journal of Modern Nursing

基　　金：2012年度国家临床重点专科建设项目（2012-649）

摘　　要：目的 探讨构架并利用虚拟社交平台进行持续性健康教育对出院脑梗死患者治疗依从性的影响.方法 以哈尔滨医科大学附属第一医院2010年4月-2013年6月陆续出院的100例脑梗死患者为研究对象,随机分为对照组和观察组,每组各50例.对照组患者出院时给予常规健康指导,观察组在常规指导的基础上构架虚拟社交平台并利用其给予出院患者继续健康教育;出院6个月后,对两组患者的治疗依从性以及康复情况进行对比分析.结果 出院6个月后,观察组患者其Barthel指数和FAM评分分别为（79.13±21.08）,（66.17±2.13）分,对照组患者则分别为（51.86±15.72）,（50.53±1.32）分,组间比较观察组Barthel指数和FAM评分均高于对照组,差异均有统计学意义（P＜0.05）;观察组治疗完全依从患者22例（44.0％）,高于对照组的10例（20.0％）,差异有统计学意义（P＜0.05）.结论 构架并利用虚拟社交平台进行持续性健康教育可通过有效提高患者对脑梗死相关知识的认知度及重视程度,改善患者的治疗依从性,对保证治疗效果促进预后有积极的作用.Objective To explore the effects of continuing health education by establishing virtual social networking platform on treatment compliance of patients with cerebral infarction.Methods A total of 100 patients with cerebral infarction discharged from our hospital between April 2010 and June 2010 were included and randomly divided into control group （50 cases） and observation group （50 cases）.The patients of two groups received routine health education,while the patients of observation group additionally received continuing health education by establishing virtual social networking platform.The treatment compliance and rehabilitation of patients in two groups were compared after 6 months.Results After 6 months,the Barthel index and FAM scores of patients in observation group were （79.13 ±21.08） and （66.17 ±2.13） respectively,and those in control group were （51.86 ± 15.72） and （50.53 ± 1.32） respectively.The Barthel index and FAM scores in observation group were significantly higher than those in control group,so the differences between two groups were statistically significant （P 〈 0.05）.There were 22 patients （44.0%） with complete compliance in observation group,and it was significantly more than that of control group （20.0%,10/50） （P 〈 0.05）.Conclusions The continuing health education by establishing virtual social networking platform can increase the awareness and importance of knowledge about cerebral infarction,improve the patient＆#39;s treatment compliance,and help to ensure the therapeutic effects and promote the prognosis.

关 键 词：健康教育 脑梗死 虚拟社交平台 依从性 

分 类 号：R473.74[医药卫生—护理学]